HomeMy WebLinkAbout2011-00793 - roofing `" CITY OF ORONO PERMIT NO.: 2011-00793
, 2750 KELLEY PARKWAY
ORONO, MN 5535C- DATE ISSUED: 08/03/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 80 LUCE LINE RIDGE
PIN : 31-118-23-34-0010
LEGAL DESC : PAINTERS CREEK
: LOT 008 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -CEDAR
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 30,000.00
NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR
TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 466.75
SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 15.00
12366 RIVER RIDGE ROAD
BURNSVILLE, MN 55337- MISC FEE 0.00
(612)861-7000� TOTAL 481.75
Minnesota State License#: 20593656 PAID WITH CC# 3038
OWNER
TALBOT,KEVIN&GAYLE
80 LUCE LINE RIDGE
MAPLE PLAIN, MN 55359
AGREEMEIYT A1vD SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the wark described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsibie for assuring all required inspections are
requested in conformance with thc State Building Code.This permit may be
revoked at any time for due cause.
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/ � / /� / /
Ap li rCt erm ee ' re Date Issued By S� ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOV .
--. City of Orono �
� Building Permit Application for Internal �IVork
� (windows, doofs, siding, re-roof, etc.) �
Malling Address: permit nu�nber.
O�O�O PO Box 66 .
Crystal 9ay, MN 55323-0066 DBte le�ved:
� s. Stnset Address: Reoeived;by:
�,� Gk�' 2750 Kelley Pa�kway Plan revi�w fee:
� 4$ Orono,MN 55356
Total Feei
AA3in: 952-249-4600 Fax: 952 24a4616 www.ci.orono.mn.us �
7his applica�on form must be compieted in full and all required informadon m1�st be submitted.
Incomplete applicatlons wfll be ratumed. (Pl�ase print) ;
GENERAL INFORMATION:
Job 3ite Address: [^� �,� �l�
Will this be a Parads of Hcmes Remodelers Showcase Hom or other Display Home? Yes No
1I yes,e special evenf permit!s�equirsd with Po/ice pepa�tment and Ciry Cound/approvai eo days pnor to th�evenf. Shurtle bus senaoe w�►be
required unless applicant dernonalratea sufficient on-site pa�ldng is availa�/e. Non permiMed eve►tts wU!not be allowed.
CONTRACTOR/APPL CANT INFOR ATION• , �
Name: ��,�,p �,myr,s y,
State license# �p�q.2 � Expiration Qate: 2._.
Lead Certificatlon Number: Expiration C�ate:
(fer wbrk on homes thet weie conslrutE�al prfor io 1978
Phone: 12 I � (office) (cell)
Mailing Address: �L Y��� � ,, City: ,/ ��►,��.� ziP: 5f 3 3
Cor�tact Person: ; ;,�ov� Applfcant i • ontracto �/ Homeowner �ctrcie o��
Email and/or Fax: - � (m /
PROPERTY OWNE FORMAT ON:� ,
Name: �
Phone(day): gl�.. '�� (o�
Address: �`j� /�,v�1 L.r•• 'b���e(w C�Y�Drns�v� ZIP: 5-ri�'/
Email and/or Fax '
PROJECT INFORMATION: �
Type of Rrojact� Aoy eatth;roovement may require
❑Door(s) ❑Remodel ❑Wate�Damage MCYV�review i Pe^nils:
Minnehaha Cre�k Wat�r�hed District(MCWD)
Q Window(s) ❑Repair ❑Stortn Damage 18202 MinnetonKa BNd
D Siding ❑ Restoretion ❑Other.(spedy) Deephave�,MN 55391
Phcine: 952-471-0590
�Re-roof ❑Fir�e Damage Fax: 952�171-0692
www.Minnehahac�eek,ora
overall Project Description:
Estimated Construction Valuation of Project(excluding land) ; ,�Q,p�T
APPLlCANT ACKNOWLEDC3EMEN?: �
• Agr+ees to provide all infortnadon raquired or reques�ed by the Building Depafinent; �
. Certiflcs that the infortnation supplied is tru�and oorrect to the best of his/her knowledge. The applicant recogniz�s that they
are solely�esponsible fo�submitting a complete application being aware that upon failure to�do so,the staff has no altemative
but to rejed ii unti)it is complete; �
� Some or all of the informatlon that you are asked to provlde on this application is Gasei�ed by State law as either private or
confidential. Private dafa is information which generally pnnot be given to the public but can be given to the subject of the
data. Confideritial data is informatlon which generally cannot be given to either the public or the subjed of the data. Our
purpose and intended use of this informadon is to annually update our reoords and records of other povemmental agencfes
uired b law. If ou refuse u I th 'nformabon,the a lication ma not be issued. '
AppNcanYs Signature: Date: � ��3/ZO ►�
Last Updated: 09-01-2011 -
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CITY OF ORONO CALLE Id N U "
INSPECTION NOTICE SCHEDULED - -' -�`
PERMIT NO.°2���� �Q� �COMPLETED �
ADDRESS O D �C� G��- ��`=��
OWNER TELEPHONE NO.��Z'86�� ���
CONTRACTOR ���'�'
� DESCRIPTION ���� ��� � /'e�<<��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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INSPECTOR WFLL RETURN
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O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on sit :
Inspector. l p j ` -
White Copylinspector's File Canary CopylSite Notice
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�. DA'T� TIME \%
CITY OF ORONO CALLED IN -�
INSPECTION NOTICE SCHEDULED R-/1�l l
PERMIT NO.aoii-�o�g3 COMPLETED
ADDRESS �D 05 �Q �� /�C�:�C.� ��
OWNER TELEPHONE NO. ��Z' ��'� ���
CONTRACTOR ��""'"`-�� �-�-
� DESCRIPTION r��t �/��
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� ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION /
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:_� (C%�r Z4�t�0/J �
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� ❑WORK SATISFACTORY:PROCEED �COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR 1MLL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
Owner/Contractor on site:
Inspector.
White Copylinspector's File Canary CopylSite Notfce